Добавлено сохранение правок поверх МИС

Добавлено версионирование сохраненных правок
Добавлено сохранение отчета мед. сестры

app/Http/Controllers/Api/NurseController.php

@@ -4,14 +4,16 @@ namespace App\Http\Controllers\Api;
 
 use App\Http\Controllers\Controller;
 use App\Models\MedicalHistory;
+use App\Models\MedicalHistoryCorrection;
 use App\Models\MedicalHistoryNurse;
+use App\Models\UnifiedMedicalHistory;
 use Illuminate\Http\Request;
 
 class NurseController extends Controller
 {
     public function getPatient($id, Request $request)
     {
-        return MedicalHistory::where('id', $id)->first();
+        return UnifiedMedicalHistory::where('id', $id)->first();
     }
 
     public function searchPatients(Request $request)
@@ -54,4 +56,31 @@ class NurseController extends Controller
             'data' => $result,
         ], 201);
     }
+
+    public function storeCorrection($id, Request $request)
+    {
+        $data = $request->validate([
+            'medical_card_number' => 'nullable',
+            'full_name' => 'nullable',
+            'birth_date' => 'nullable',
+            'recipient_date' => 'nullable',
+            'extract_date' => 'nullable',
+            'death_date' => 'nullable',
+            'male' => 'nullable',
+            'urgency_id' => 'nullable',
+            'hospital_result_id' => 'nullable',
+            'visit_result_id' => 'nullable',
+            'mis_user_id' => 'nullable',
+            'comment' => 'nullable',
+        ]);
+
+        $data['medical_history_id'] = $id;
+        $data['user_id'] = auth()->user()->id;
+
+        $result = MedicalHistoryCorrection::create($data);
+
+        return response()->json([
+            'data' => $result,
+        ], 201);
+    }
 }

app/Http/Controllers/Web/NurseReportController.php

@@ -5,7 +5,7 @@ namespace App\Http\Controllers\Web;
 use App\Http\Controllers\Controller;
 use App\Models\Department;
 use App\Services\DateRangeService;
-use App\Services\MedicalHistoryService;
+use App\Services\UnifiedMedicalHistoryService;
 use Illuminate\Http\Request;
 use Illuminate\Support\Facades\Auth;
 use Inertia\Inertia;
@@ -14,7 +14,7 @@ class NurseReportController extends Controller
 {
     public function __construct(
         protected DateRangeService $dateRangeService,
-        protected MedicalHistoryService $medicalHistoryService
+        protected UnifiedMedicalHistoryService $unifiedMedicalHistoryService
     )
     {}
 
@@ -30,11 +30,11 @@ class NurseReportController extends Controller
         $department = Department::where('department_id', $departmentId)->firstOrFail();
         $dateRange = $this->dateRangeService->getDateRangeFromRequest($request, $user);
 
-        $inDepartmentHistories = $this->medicalHistoryService->getDepartmentHistories($dateRange, $department->rf_mis_department_id);
-        $recipientHistories = $this->medicalHistoryService->getRecipientHistories($dateRange, $department->rf_mis_department_id);
-        $dischargedHistories = $this->medicalHistoryService->getDischargedHistories($dateRange, $department->rf_mis_department_id);
-        $deceasedHistories = $this->medicalHistoryService->getDeceasedHistories($dateRange, $department->rf_mis_department_id);
-        $transferredHistories = $this->medicalHistoryService->getTransferredHistories($dateRange, $department->rf_mis_department_id);
+        $inDepartmentHistories = $this->unifiedMedicalHistoryService->getDepartmentHistories($dateRange, $department->rf_mis_department_id);
+        $recipientHistories = $this->unifiedMedicalHistoryService->getRecipientHistories($dateRange, $department->rf_mis_department_id);
+        $dischargedHistories = $this->unifiedMedicalHistoryService->getDischargedHistories($dateRange, $department->rf_mis_department_id);
+        $deceasedHistories = $this->unifiedMedicalHistoryService->getDeceasedHistories($dateRange, $department->rf_mis_department_id);
+        $transferredHistories = $this->unifiedMedicalHistoryService->getTransferredHistories($dateRange, $department->rf_mis_department_id);
 
         return Inertia::render('Nurse/Report/Index', [
             'inDepartmentHistories' => $inDepartmentHistories,

app/Models/MedicalHistoryCorrection.php

@@ -18,6 +18,9 @@ class MedicalHistoryCorrection extends Model
         'urgency_id',
         'hospital_result_id',
         'visit_result_id',
+        'user_id',
+        'mis_user_id',
+        'comment',
     ];
 
     protected $casts = [

app/Models/UnifiedMedicalHistory.php

@@ -6,7 +6,7 @@ use Illuminate\Database\Eloquent\Model;
 
 class UnifiedMedicalHistory extends MaterializedViewModel
 {
-    protected $table = 'v_unified_medical_history';
+    protected $table = 'v_unified_medical_history_nurse';
     protected $primaryKey = 'id';
 
     protected $casts = [
@@ -16,4 +16,31 @@ class UnifiedMedicalHistory extends MaterializedViewModel
         'death_date' => 'datetime',
         'male' => 'boolean',
     ];
+
+    public function migrations(): \Illuminate\Database\Eloquent\Relations\HasMany|MedicalHistory
+    {
+        return $this->hasMany(MigrationPatient::class, 'medical_history_id', 'id');
+    }
+
+    public function operations(): \Illuminate\Database\Eloquent\Relations\HasMany|MedicalHistory
+    {
+        return $this->hasMany(SurgicalOperation::class, 'medical_history_id', 'id');
+    }
+
+    public function latestMigration()
+    {
+        return $this->hasOne(MigrationPatient::class, 'medical_history_id', 'id')
+            ->latest('ingoing_date');
+    }
+
+    public function operationsInDepartment($query, $departmentId)
+    {
+        return $this->operations()->where('department_id', $departmentId);
+    }
+
+    // Скоупы
+    public function scopeUrgency($query, $typeId) // 1 = Экстренно, 2 = Планово
+    {
+        return $query->where('urgency_id', $typeId);
+    }
 }

app/Services/UnifiedMedicalHistoryService.php

@@ -0,0 +1,118 @@
+<?php
+
+namespace App\Services;
+
+use App\Models\MedicalHistory;
+use App\Models\MigrationPatient;
+use App\Models\UnifiedMedicalHistory;
+use Illuminate\Support\Carbon;
+
+class UnifiedMedicalHistoryService
+{
+    public function getHistories(DateRange $dateRange, int $departmentId)
+    {
+        $query = UnifiedMedicalHistory::query();
+
+        $query->where('recipient_date', '>=', $dateRange->startSql())
+            ->where('recipient_date', '<', $dateRange->endSql())
+            // 1. Оставляем только тех пациентов, у которых БЫЛО движение в этом отделении
+            ->whereHas('latestMigration', fn($q) => $q->where('department_id', $departmentId))
+
+            // 2. Загружаем ТОЛЬКО последнее движение в этом отделении (не все миграции)
+            ->with(['latestMigration' => fn($q) => $q->where('department_id', $departmentId)]);
+
+        $result = $query->paginate();
+
+        return $result;
+    }
+
+    public function getUrgencyHistory(DateRange $dateRange, int $departmentId, int $urgencyId)
+    {
+        $query = UnifiedMedicalHistory::query();
+
+        $query->where('recipient_date', '>=', $dateRange->startSql())
+            ->where('recipient_date', '<', $dateRange->endSql())
+            ->urgency($urgencyId)
+            ->whereHas('migrations', function ($m) use ($departmentId) {
+                $m->where('department_id', $departmentId);
+            })
+            ->with([
+                'migrations' => fn ($m) => $m->where('department_id', $departmentId),
+                'migrations.operations'
+            ]);
+
+        $result = $query->paginate();
+
+        return $result;
+    }
+
+    public function getDepartmentHistories(DateRange $dateRange, int $departmentId)
+    {
+        return UnifiedMedicalHistory::query()
+            ->whereHas('migrations', function ($q) use ($departmentId, $dateRange) {
+                $q->department($departmentId)->current($dateRange);
+            })
+            ->with(['latestMigration' => function ($q) use ($departmentId, $dateRange) {
+                $q->department($departmentId)->current($dateRange); // подгружаем только отфильтрованные движения
+            }])
+            ->get()
+            // Сортировка по дате поступления в отделение (поле дочерней таблицы)
+            ->sortByDesc(fn ($mh) => $mh->latestMigration->ingoing_date ?? $mh->recipient_date)
+            ->values();
+    }
+
+    /**
+     * Получить карты поступившие сегодня
+     * @param DateRange $dateRange
+     * @param int $departmentId
+     */
+    public function getRecipientHistories(DateRange $dateRange, int $departmentId)
+    {
+        $now = Carbon::now();
+
+        return UnifiedMedicalHistory::query()
+            ->whereHas('migrations', function ($q) use ($departmentId, $dateRange) {
+                $q->department($departmentId)->admitted($dateRange->startSql(), $dateRange->endSql());
+            })
+            ->with(['latestMigration' => function ($q) use ($departmentId) {
+                $q->department($departmentId);
+            }])
+            ->get();
+    }
+
+    public function getDischargedHistories(DateRange $dateRange, int $departmentId)
+    {
+        return UnifiedMedicalHistory::query()
+            ->whereHas('migrations', function ($q) use ($departmentId, $dateRange) {
+                $q->department($departmentId)->discharged($dateRange->startSql(), $dateRange->endSql());
+            })
+            ->with(['latestMigration' => function ($q) use ($departmentId) {
+                $q->department($departmentId);
+            }])
+            ->get();
+    }
+
+    public function getDeceasedHistories(DateRange $dateRange, int $departmentId)
+    {
+        return UnifiedMedicalHistory::query()
+            ->whereHas('migrations', function ($q) use ($departmentId, $dateRange) {
+                $q->department($departmentId)->deceased($dateRange->startSql(), $dateRange->endSql());
+            })
+            ->with(['latestMigration' => function ($q) use ($departmentId) {
+                $q->department($departmentId);
+            }])
+            ->get();
+    }
+
+    public function getTransferredHistories(DateRange $dateRange, int $departmentId)
+    {
+        return UnifiedMedicalHistory::query()
+            ->whereHas('migrations', function ($q) use ($departmentId, $dateRange) {
+                $q->department($departmentId)->transferred($dateRange->startSql(), $dateRange->endSql());
+            })
+            ->with(['latestMigration' => function ($q) use ($departmentId) {
+                $q->department($departmentId);
+            }])
+            ->get();
+    }
+}